Individual
DR. SCOTT CHRISTIAN LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
240 VILLAGE CENTER ST, NIXA, MO 65714-8869
(417) 725-8283
(417) 725-8284
Mailing address
PO BOX 1169, 240 VILLAGE CENTER, NIXA, MO 65714-1169
(417) 725-8283
(417) 725-8284
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE015806
MO
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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